San Mateo County

Behavioral Health

High potassium levels can cause anxiety symptoms

Erie Times-News - 4/16/2018

Q: I started taking potassium pills about five years ago. Then after a few months, I began to have anxiety attacks so severe that I could barely talk to people.

Finally, I read warnings about potassium's side effects, which included anxiety attacks. I immediately stopped taking the pills, but still have mild anxiety attacks. More people should know about this side effect.

A: Thank you for sharing what has clearly been a difficult experience. Before we explore the potential risks, however, let's be clear on one point: Humans need potassium for normal cellular function within the body. Major deficiencies in this mineral can lead to severe muscle weakness, failure of the respiratory and gastrointestinal systems, kidney dysfunction, abnormal heart rhythms and possible death. Because many diuretic drugs deplete potassium, people taking such drugs should also take potassium supplements. So too should people with chronic diarrhea.

But if you're not taking medication that decreases potassium, don't have diarrhea and do have a healthy diet, you don't need extra potassium.

That doesn't mean people don't take it, however. Some use potassium to ease muscle cramps or to help build muscle through workouts. Others use it as a table salt substitute. Some people even take extra potassium to reduce blood pressure, although there's no evidence that this has any effect.

Humans normally require 2,000 to 3,500 milligrams of potassium daily. Because the mineral is found in a variety of foods, most people's needs can be met through a generally healthy diet.

Though it may be tempting to supplement, taking additional potassium can cause your levels to go too high. Because people with kidney dysfunction are already apt to have higher levels of potassium, taking supplements is especially risky for them.

An elevated potassium level can lead to muscle weakness and even paralysis. It can also interfere with electrical conduction in the heart, causing abnormal heart rhythms and, when severe, a shutdown of the heart's electrical activity, meaning loss of any muscle contraction and, quickly, death.

As for the kidneys, although they're efficient at maintaining potassium balance, they can be overwhelmed by high levels.

As for your symptoms, it's possible that the high potassium levels led to an abnormal heart rhythm, which in turn led to panic.

Another possibility is that the high potassium levels led to greater acidity in the blood and the ensuing hyperventilation.

That hyperventilation can lead to dizziness, nausea, palpitations, shortness of breath and chest pain: many of the same symptoms as a panic attack.